PEMILIHAN KONTRASEPSI BERDASARKAN EFEK SAMPING PADA DUA KELOMPOK USIA REPRODUKSI

ABSTRACT Kelompok usia reproduksi terbagi dalam tiga fase yaitufase menunda kehamilan (<20 tahun), fase menjarangkan kehamilan (20-30 tahun) dan fase mengakhiri kehamilan (>30 tahun). Cara yang ditempuh yaitu dengan pemakaian kontrasepsi.baik MKJPmaupunnon MKJP. Tujuan penelitian ini adalah untuk mengetahui ada atau tidak perbedaan pemilihan kontrasepsi MKJP dan non MKJP berdasarkan efek samping pada dua kelompok usia reproduksi. Penelitin ini menggunakan desain cross sectional, pengambilan data dengan kuesioner. Sampel dalam penelitian ini adalah akseptor KB baik MKJP maupun non MKJP pada bulan april sampai juni sebanyak 200 responden, dimana tekhnik pengambilan datanya dengan random sampling dan kuota sampling. Hasil penelitian kemudian diuji dengan mann-whitney test.Hasil penelitian dengan uji mann whitney test diperoleh p = 0.662 dengan kata lain p > α (0.05) yang berarti tidak ada perbedaan pemilihan MKJP dan non MKJP berdasarkan efek samping di Wilayah Kabupaten Semarang. ABSTRACT Reproductive-age category can be divided into three groups which are the group of delayed interval pregnancy (less than 20 years old), the group of intervalcontrol pregnancy (20 to 30 years old), and the group of high risk pregnancy (more than 30 years old). An alternative to avoid high risk pregnancy is by using contraception tool namely long-term contraception (MKJP) and non long-term contraception (non MKJP).The purpose of this research is to analysedwhether there are differences in choosing MKJP and non –MKJP based on side effects in the two reproductive-age groups.This research was an explanatory research with cross-sectional design. The population were all women of contraception acceptors in Semarang Regency.The samples were 200 respondents, used simple random sampling and quota sampling. This research used quisionaire instrument and analyze used mann whitney test (α=0,05). Theresult showed thatP = 0,662 meaning P > α = 0.05 which means there is no difference in choosing MKJP and non-MKJP based on side effects in the two reproduction-age groups in Semarang regency.

Download Full-text

Risk status of pregnant women in rural areas of Belagavi: a cross sectional study

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20192296 ◽

2019 ◽

Vol 6 (6) ◽

pp. 2350

Author(s):

Katherine J. Bernard ◽

Sulakshana Baliga

Keyword(s):

High Risk ◽

Pregnant Women ◽

Rural Areas ◽

Cross Sectional Study ◽

High Risk Pregnancy ◽

Cross Sectional ◽

Risk Status ◽

Factors Associated ◽

Risk Pregnancy ◽

Status Assessment

Background: ‘High-risk’ pregnancies account for a significant proportion of perinatal morbidity and mortality worldwide. Simple prenatal scoring systems can be used to assess risk status of pregnancy and inform subsequent management. Their use in rural areas and low-resource settings could be of particular benefit. This study employed pregnancy risk status assessment in one such area of rural India. The objectives of the study were to estimate the prevalence of low, moderate and high-risk pregnancy among women in a rural area of Belagavi and to identify factors associated with high-risk pregnancy status.Methods: This community-based cross-sectional study was undertaken among 105 pregnant women of all trimesters presenting to antenatal clinics in the Kinaye area of Belagavi, Karnataka, during July 2018. Information on risk factors and socio-demographic details were collected using a questionnaire, and individual risk scores calculated through a scoring system. This was used to estimate prevalence of low, moderate and high-risk status among participants, and subsequently compared against selected variables to identify factors associated with high risk pregnancy status.Results: Prevalence of high-risk pregnancy among participants was 31.4%, moderate-risk 30.5%, low-risk 29.5% and ‘no risk’ 8.6%. Maternal undernutrition was an important factor associated with high-risk pregnancy.Conclusions: This study highlights the need for early identification and appropriate management of such cases, in order to prevent adverse perinatal outcomes. The prenatal scoring system used in this study offers a simple method for risk status assessment in pregnant women of all trimesters, suited for use in antenatal clinics in rural areas of India.

Download Full-text

Hubungan Pemeriksaan Kehamilan K4 dengan Kejadian Kehamilan Resiko Tinggi pada Ibu Hamil Trimester III

Jurnal Endurance ◽

10.22216/jen.v4i1.2101 ◽

2019 ◽

Vol 4 (1) ◽

pp. 199

Author(s):

Rosmeri Bukit

Keyword(s):

High Risk ◽

Antenatal Care ◽

Care Service ◽

High Risk Pregnancy ◽

P Value ◽

Third Trimester ◽

Chi Square ◽

Cross Sectional ◽

Risk Pregnancy ◽

Chi Square Test

A high-risk pregnancy is a pathological pregnancy that can affect the general state of the mother and baby. Early detection can be done on antenatal care service is by increasing coverage of antenatal care especially pregnancy examination ≥ 4 times or K4. The purpose of this study is to determine the relationship of pregnancy examination K4 with high risk of third trimester pregnancy at Harapan Raya Pekanbaru Health Center in 2014. The research quantitative type with analytical method, using cross sectional approach. Population of all pregnant women in the third trimester who conducted pregnancy checkup at the Puskesmas Harapan Raya total of 50 people. The sample size was 50 people with Total Sampling and statistical test using Chi square test. The results showed that obtained P value 0.001 where P value ≤ 0.005 Ho in rejection means there is a significant relationship. The conclusion of this study is that there is a relationship between the examination of pregnancy K4 with the incidence of high risk pregnancy trimester III. Kehamilan resiko tinggi merupakan kehamilan patologi yang dapat mempengaruhi keadaan umum ibu dan bayi. Cara deteksi dini dapat dilakukan pada pelayanan antenatal care yaitu dengan peningkatan cakupan pelayanan antenatal khususnya pemeriksaan kehamilan ≥4 kali atau K4. Tujuan penelitian ini adalah untuk mengetahui hubungan pemeriksaan kehamilan K4 dengan resiko tinggi kehamilan trimester III di Puskesmas Harapan Raya Pekanbaru tahun 2014. Jenis penelitian kuantitatif dengan metode analitik, menggunakan pendekatan cross sectional. Populasi seluruh ibu hamil trimester III yang melakukan pemeriksaan kehamilan di Puskesmas Harapan Raya jumlah 50 orang. Jumlah sampel 50 orang dengan Total Sampling dan uji statistik menggunakan uji Chi square. Hasil penelitian menunjukkan bahwa diperoleh P value 0,001 dimana P value ≤ 0,005 Ho di tolak artinya ada hubungan yang signifikan. Simpulan dari penelitian ini yaitu ada hubungan antara pemeriksaan kehamilan K4 dengan kejadian kehamilan resiko tinggi trimester III.

Download Full-text

FAKTOR RISIKO KEJADIAN TB PARU BTA POSITIF DI DAERAH PESISIR DAN DAERAH PEGUNUNGAN: STUDI KOMPARASI PUSKESMAS BENU-BENUA DAN ANGGABERI

MIRACLE Journal Of Public Health ◽

10.36566/mjph/vol3.iss2/174 ◽

2020 ◽

Vol 3 (2) ◽

pp. 163-171

Author(s):

Mohamad Guntur Nangi ◽

Yulli Fety ◽

Alianto

Keyword(s):

Random Sampling ◽

Cross Sectional Study ◽

P Value ◽

Sectional Study ◽

Cross Sectional ◽

Whitney Test ◽

Mann Whitney Test

Tuberkulosis masih merupakan masalah kesehatan di Indonesia, khususnya di Wilayah Kerja Puskesmas Benu-Benua Kota Kendari (daerah pesisir) dan Wilayah Kerja Puskesmas Anggaberi Kabupaten Konawe (daerah pegunungan). Tujuan penelitian ini untuk mengetahui perbedaan faktor risiko kejadian TB paru BTA Positif di Daerah Pesisir dan Daerah Pegunungan. Jenis penelitian adalah observasional analitik menggunakan studi perbandingan dengan rancangan Cross Sectional Study dari bulan September-Oktober 2019. Populasi penelitian ini adalah 57 kasus, dengan tehnik penarikan sampel secara Random Sampling, jumlah sampel sebanyak 32 kasus di daerah pesisir dan 25 kasus di daerah pegunungan. Metode analisis menggunakan uji Statistik Mann-Whitney Test. Hasil penelitian menunjukkan ada perbedaan faktor risiko kebiasaan tidur kejadian TB paru BTA positif di daerah pesisir dan daerah pegunungan dengan p-value= 0,003 < α = 0,005), tidak ada perbedaan faktor risiko kebiasaan membuang dahak dengan p-value = 0,253 > α = 0,005, dan ada perbedaan faktor risiko kebiasaan membuka jendela kejadian TB paru BTA positif di daerah pesisir dan daerah pegunungan dengan nilai p-value = 0,003 < α = 0,005. Saran dalam penelitian ini menjadi bahan masukan bagi pengelola program pencegahan dan penanggulangan penyakit khususnya penyakit TB.

Download Full-text

LA ORIENTACIÓN FAMILIAR DE LAS ADOLESCENTES DE 12 A 14 AÑOS CON EMBARAZOS DE ALTO RIESGO

Revista Cognosis. ISSN 2588-0578 ◽

10.33936/cognosis.v3i5.1529 ◽

2018 ◽

Vol 3 (5) ◽

pp. 65

Author(s):

Maira Verónica Vera Saavedra ◽

Viviana Septimia Gómez Mieles

Keyword(s):

Public Health ◽

High Risk ◽

Adolescent Pregnancy ◽

Emotional Abuse ◽

Public Health Problem ◽

Family Counseling ◽

High Risk Pregnancy ◽

Cross Sectional ◽

Risk Pregnancy ◽

Family Orientation

En la provincia de Manabí en el cantón Sucre Bahía de Caráquez, el Embarazo Adolescente es un problema de salud pública ya que por los últimos resultados dados por el área de Ginecología del Hospital Miguel H. Alcívar y por las repercusiones biológicas y sociales, son pocos los estudios orientados al enfoque de esta situación. En la actualidad el embarazo en adolescentes es cada día más frecuente en el medio social, siendo un problema muy importante relacionado con la salud pública, ya sea en los países en vías de desarrollo como en el mundo desarrollado, debido a sus repercusiones adversas sociales y de salud, tanto para las madres como para los niños. El embarazo precoz de una adolescente implica múltiples causas como: incomprensión, maltrato emocional, carencia de apoyo, carencia de educación sexual, etc. El embarazo y la maternidad tienen un carácter negativo tanto para la joven como para su hijo o hija e incluso para todos los miembros de su familia. Se ha realizado un estudio descriptivo observacional transversal y retrospectivo en el que se pretende fijar el perfil personal y social de las adolescentes embarazadas, mediante charlas que tengan como enfoque la orientación familiar debidamente programada y organizada, para no sucumbir en embarazos no deseados. PALABRAS CLAVE: Orientación familiar; embarazo en la adolescencia; embarazo de alto riesgo. FAMILY ORIENTATION OF ADOLESCENTS FROM 12 TO 14 YEARS OF AGE WITH HIGH RISK PREGNANCY ABSTRACT In the province of Manabí in the Sucre Bay of Caráquez, Adolescent Pregnancy is a public health problem because of the recent results given by the Gynecology area of the Hospital Miguel H. Alcívar and because of the biological and social repercussions, few are the studies oriented to the approach of this situation. Currently adolescent pregnancy is becoming more frequent in the social environment, being a very important problem related to public health, either in developing countries or in the developed world, due to its adverse social and economic repercussions. of health, both for mothers and children. The early pregnancy of a teenager implies multiple causes such as: incomprehension, emotional abuse, lack of support, lack of sexual education, etc. Pregnancy and motherhood have a negative character both for the young woman and her son or daughter and even for all the members of her family. A cross-sectional and retrospective observational descriptive study has been carried out in which the personal and social profile of pregnant adolescents is set, through talks that focus on family orientation, duly programmed and organized, so as not to succumb to unwanted pregnancies. KEYWORDS: Family counseling; pregnancy in adolescence; high risk pregnancy

Download Full-text

Consumption of medicines in high-risk pregnancy: evaluation of determinants related to the use of prescription drugs and self-medication

Brazilian Journal of Pharmaceutical Sciences ◽

10.1590/s1984-82502013000300010 ◽

2013 ◽

Vol 49 (3) ◽

pp. 491-499 ◽

Cited By ~ 3

Author(s):

Danielle Dayse Araújo ◽

Marineide Marinho Leal ◽

Eliane Jucielly Vasconcelos Santos ◽

Leila Bastos Leal

Keyword(s):

High Risk ◽

Prescription Drugs ◽

High Risk Pregnancy ◽

Consumption Pattern ◽

Health Care Education ◽

Self Medication ◽

Cross Sectional ◽

Number Of Children ◽

Risk Pregnancy ◽

History Of

The use of drugs during pregnancy still represents a challenge for medicine, since the majority of drugs cross the placental barrier with a potential to cause several congenital problems to the fetus, and most of them have not been clinically tested in pregnant patients. At the same time, the medicalization phenomenon, self-medication, and lack of patient information about the misuse of medicines are additional problems. Thus, the aim of this study was to evaluate the pattern of medicine consumption in high-risk pregnancies and the determinants related to this consumption pattern. In order to do so, a cross-sectional descriptive study was performed with puerperal women who had a history of high-risk pregnancy. Statistically significant associations were found between self-medication and fewer prenatal visits, and cigarette use during pregnancy and a higher number of children. According to these data, the vulnerability of this population to the risks of drug use is evident, demonstrating a gap that requires urgent interventions in health-care education.

Download Full-text

RELATIONSHIP BETWEEN CLINICAL, PLACENTARY, OBSTETRIC AND NEONATAL ASPECTS AND INTRAUTERINE GROWTH IN HIGH RISK PREGNANCIES

Texto & Contexto - Enfermagem ◽

10.1590/0104-07072017005520015 ◽

2017 ◽

Vol 26 (2) ◽

Author(s):

Ana Karina Marques Salge ◽

Renata Calciolari Rossi e Silva ◽

Janaína Valadares Guimarães ◽

Wilzianne Silva Ramalho ◽

Douglas Reis Abdalla ◽

...

Keyword(s):

High Risk ◽

Medical Records ◽

Study Data ◽

High Risk Pregnancy ◽

Cross Sectional ◽

Intrauterine Growth ◽

Risk Pregnancy ◽

Uterine Growth ◽

Normal Gestation

ABSTRACT Objective: to analyze clinical, placental and obstetric aspects of women with and without high-risk pregnancy, and their relationship with intrauterine growth deviations and neonatal aspects. Method: this is a cross-sectional descriptive study. Data collection was based on an analysis of the medical records of women with and without high-risk pregnancy and newborns, and anatomopathological characterization of the placenta. Results: 265 placentas were analyzed, 130 (49.06%) women with high-risk pregnancy and newborns with intrauterine growth deviations. A higher occurrence of placental changes was found in high-risk pregnancy and uterine growth deviations in comparison to cases without high-risk pregnancy (p≤0.001). High-risk pregnancies with intrauterine growth deviations were associated with placental changes (p≤0.001). Intrauterine growth deviations was related to birth weight in cases of high-risk pregnancy compared to normal gestation (p=0.014). Conclusion: a higher occurrence of placental anatomopathological changes was found in maternal and fetal surfaces in cases of high-risk pregnancy and intrauterine growth deviations.

Download Full-text

The Screening Description of Mothers with Risk Pregnancy

KnE Life Sciences ◽

10.18502/kls.v4i13.5274 ◽

2019 ◽

Author(s):

Indriyani Widiastuti ◽

Dewi Marfuah

Keyword(s):

High Risk ◽

Health Center ◽

Sampling Technique ◽

High Risk Pregnancy ◽

Cross Sectional ◽

Descriptive Research ◽

Risk Pregnancy ◽

Cross Sectional Design ◽

Quantitative Descriptive ◽

Pregnant Mothers

Background: Screening is an early examination to assess whether someone has risk factors of health problems. Risk Pregnancy is a pregnancy with certain risks which can endangered the condition of the mother or baby. Purpose: This research aims to know the Description of Low Risk Pregnancy, the Description of High-Risk Pregnancy, and the Description of Very High Risk Pregnancy in Pregnant Mothers with Trimester I, I, III in Bandung City. Method: This research is a quantitative descriptive research using cross sectional design. Conducted in May-June 2019, with research’s subject of 116 pregnant mothers in Puter and Pagarsih health center selected using convenience sampling technique. Data collection using Poedji Rochjati Screening and data analysis usingfrequencydistribution. Result:This research showed that the LowRiskpregnancy in pregnant mothers of the trimester I High Risk as many as 11 people (9,5%), Trimester II High Risk as many as 26 people (22,4%), and Trimester III High Risk as many as 36 people (31,0%), Conclusion: The of research overall obtained by pregnant maternal with trimesters I, II, III were in the category of high risk pregnancy. Public health center management need to improve the program related to pregnancy, for example family planning programs, and the prevention of anemia to reduce risk pregnancies for pregnant women.

Download Full-text

Role of Modified Biophysical Profile in High Risk Pregnancy in Predicting Fetal Outcome

Journal of Nepal Health Research Council ◽

10.33314/jnhrc.v18i3.2513 ◽

2020 ◽

Vol 18 (3) ◽

pp. 401-405

Author(s):

Santosh Jha ◽

Ganesh Dangal

Keyword(s):

High Risk ◽

Amniotic Fluid ◽

Neonatal Resuscitation ◽

Fetal Outcome ◽

High Risk Pregnancy ◽

Amniotic Fluid Index ◽

Cross Sectional ◽

Risk Pregnancy ◽

Increased Risk ◽

Biophysical Profile

Background: High risk pregnant women have increased risk of maternal and neonatal morbidity and mortality. Antepartum surveillance is important and should be effective in such conditions. Modified biophysical profile is the method of antepartum surveillance which comprises of cardiotocography and amniotic fluid index. Methods: A cross-sectional study was carried out in Paropakar Maternity and Women’s Hospital from February 2019 to January 2020 to determine the effectiveness of modified biophysical profile. Cardiotocography was interpreted as reactive, equivocal and non-reactive. AFI was considered normal if it was 5 to 24 cm. In the study 172 high risk cases at term and not in labor were included. Each case was subjected to cardiotocography then amniotic fluid index was obtained using real time sonography where it was measured from all four quadrants. Modified biophysical results were obtained and then were divided into 2 arms as normal modified biophysical profile and abnormal modified biophysical profile then analysis was done. Results: Of 172 cases, there were 97 (56.4%) cases in normal modified biophysical profile and remaining 75 (43.6%) in abnormal modified biophysical profile group. The rate of cesarean section increased when there was abnormal modified biophysical profile. Neonatal resuscitation and admission was increased in abnormal modified biophysical profile. Conclusions: Normal modified biophysical profile in high risk pregnancy had more cases of vaginal delivery and less adverse fetal outcome like low APGAR score, neonatal resuscitation and neonatal intensive care admission. Keywords: Amniotic fluid index; cardiotocography; fetal surveillance; modified biophysical profile

Download Full-text

Web and mobile-based technologies for monitoring high-risk pregnancies

BMJ Health & Care Informatics ◽

10.1136/bmjhci-2019-000025 ◽

2019 ◽

Vol 26 (1) ◽

pp. e000025 ◽

Cited By ~ 1

Author(s):

Haleh Ayatollahi ◽

Malihe Ghalandar Abadi ◽

Morteza Hemmat

Keyword(s):

High Risk ◽

Prenatal Care ◽

Fetal Loss ◽

Healthcare Services ◽

Cross Sectional Study ◽

High Risk Pregnancy ◽

Teaching Hospitals ◽

Cross Sectional ◽

Web Based ◽

Risk Pregnancy

IntroductionHigh-risk pregnancy is an illness in which there are severe complications and problems that may cause fetal loss and requires continuous care. It seems that using telemedicine technology is helpful to provide wider access to prenatal care. The aim of this study was to compare the feasibility of using web-based and mobile-based technologies in caring for high-risk pregnancy.Materials and methodsThis was a cross-sectional study and the participants included midwives and gynaecologists who worked at teaching hospitals. The data were collected by using two five-point Likert scale questionnaires which were designed based on the literature review. The questionnaires included two main sections: demographic questions and questions related to five aspects of a feasibility study. Face and content validity of the questionnaires were confirmed by the experts and the reliability was checked by using the test-retest method. The data were analysed using descriptive and inferential statistics.ResultsIn this study, 79 questionnaires were completed by 50 midwives (63.29%) and 29 gynaecologists (36.71%). Overall, midwives (p=0.001) and gynaecologists (p=0.003) believed that using mobile-based technologies was more feasible than using web-based technologies in caring for high-risk pregnancies.ConclusionIt seems that planning for the future technological direction and providing mobile-based applications should be taken into account and prioritised to improve the quality of prenatal care and to increase access to healthcare services for high-risk pregnancies.

Download Full-text

A New Approach in the Induction of Labor with Misoprostol Vaginal Insert in High-Risk Pregnancy Obese Women

10.20944/preprints202011.0653.v1 ◽

2020 ◽

Author(s):

Valentin Nicolae Varlas ◽

Georgiana Bostan ◽

Bogdana Adriana Nasui ◽

Nicolae Bacalbasa ◽

Anca Lucia Pop

Keyword(s):

High Risk ◽

Mode Of Delivery ◽

Perinatal Outcomes ◽

Labor Induction ◽

Induction Of Labor ◽

High Risk Pregnancy ◽

Obese Patients ◽

Obese Women ◽

Cross Sectional ◽

Risk Pregnancy

Background and objectives: Induction of labor (IOL) is an event that occurs in up to one-quarter of pregnancies; less is known about the outcomes and safety of IOL in obese pregnant woman; no data is available on misoprostol vaginal insert (MVI) IOL in high-risk pregnancy obese women. Objectives: (1) to evaluate the rate of successful IOL with 200 μg MVI in obese (Body Mass Index - BMI over 30 kg/m2) high-risk pregnant women: late-term pregnancy, hypertension or diabetes, compared to obese non-high-risk ones; (2) to evaluate the safety profile of MVI in high-risk pregnancy obese patients. Study design: We conducted a cross-sectional study in "Filantropia" Clinical Hospital, Bucharest, Romania, from June 2017 to September 2019 (28 months). From a total of 11,096 registered live births, IOL was performed in 206 obese patients; 74 obese high-risk pregnant patients matched the inclusion criteria; of these, 33.8% pregnancies (n=25) were late-term (41 – 41+6 weeks), 43.2% (n=32) had associated pathologies (hypertension and diabetes); labor induction was guided using a standardized protocol. We evaluated the maternal and gestational age, parity, fetal tachysystole, hyper-stimulation, initial cervical status, time from induction to delivery, drug side effects, mode of delivery, and neonatal outcomes. Results: (a) The overall successful labor induction rate, evaluated by the vaginal delivery rate, was 71.6% (n=53), spontaneously or instrumentally assisted; 28.4% (n=21) births were unsuccessful MVI IOL, converted into caesareans. (b) No significant differences were found regarding the maternal outcomes; in terms of perinatal outcomes of safety, four cases of high-risk pregnancies vaginally delivered were associated with neonatal intensive care unit (NICU) admissions and a one-minute Apgar score under seven (5.4%). Most cases with adverse effects of misoprostol have been managed conservatively, except for three emergency C-section cases. Conclusions: Misoprostol vaginal insert is a safe choice in IOL in obese high-risk pregnancies with good maternal and perinatal outcomes.

Download Full-text